| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90935 |
|
4,962 |
2,645 |
$326K |
| J3490 |
Unclassified drugs |
4,340 |
1,664 |
$153K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
2,091 |
1,562 |
$78K |
| J1756 |
Injection, iron sucrose, 1 mg |
2,381 |
1,433 |
$11K |
| 85046 |
|
742 |
719 |
$4K |
| A4657 |
Syringe, with or without needle, each |
3,543 |
1,990 |
$4K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
115 |
88 |
$3K |
| 83970 |
|
2,104 |
1,915 |
$2K |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,137 |
415 |
$841.79 |
| 85018 |
|
2,603 |
2,157 |
$463.67 |
| 82728 |
|
1,684 |
1,527 |
$390.27 |
| 84520 |
|
3,639 |
2,184 |
$387.68 |
| 90732 |
|
47 |
47 |
$349.13 |
| 83550 |
|
1,994 |
1,798 |
$321.28 |
| 83540 |
|
2,354 |
2,148 |
$308.51 |
| 85025 |
|
2,253 |
2,051 |
$302.84 |
| 87340 |
|
1,091 |
1,029 |
$243.21 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
200 |
39 |
$193.05 |
| 82108 |
|
358 |
345 |
$166.12 |
| 84155 |
|
2,317 |
2,116 |
$160.89 |
| 80051 |
|
992 |
936 |
$150.85 |
| 82310 |
|
1,284 |
1,104 |
$119.52 |
| 90740 |
|
24 |
24 |
$106.06 |
| 80069 |
|
798 |
750 |
$105.88 |
| 90686 |
|
49 |
47 |
$94.36 |
| 83735 |
|
730 |
669 |
$92.38 |
| 82565 |
|
1,081 |
1,018 |
$75.50 |
| 82040 |
|
1,107 |
1,044 |
$67.07 |
| 84100 |
|
1,266 |
1,078 |
$64.42 |
| 86706 |
|
216 |
211 |
$60.82 |
| 82746 |
|
150 |
146 |
$53.05 |
| 84075 |
|
722 |
661 |
$46.03 |
| 86803 |
|
16 |
16 |
$22.72 |
| 84466 |
|
65 |
65 |
$20.54 |
| 90688 |
|
38 |
38 |
$20.40 |
| 84132 |
|
18 |
18 |
$1.18 |
| 84295 |
|
18 |
18 |
$0.23 |
| 82374 |
|
18 |
18 |
$0.23 |
| 82435 |
|
18 |
18 |
$0.22 |
| 82947 |
|
12 |
12 |
$0.19 |
| G0008 |
Administration of influenza virus vaccine |
111 |
108 |
$0.00 |
| 86704 |
|
23 |
23 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
48 |
47 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
24 |
24 |
$0.00 |